Abstract
Transcatheter aortic valve implantation using the Medtronic CoreValve is a well-established procedure. Although previously carried out only through the common femoral artery, today it is possible to perform the procedure through different arterial alternative access sites. A direct aortic approach through the ascending aorta could be carried out via a right anterior mini-thoracotomy in the second intercostal space. The pericardium is opened to expose the aorta. Two purse-string sutures are then placed on the ascending aorta and a standard retrograde CoreValve implantation is performed with the standard delivery system. Advantages, contraindications, surgical technique and results are discussed.
Original language | English |
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Pages (from-to) | mmt015 |
Journal | Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery |
Volume | 2013 |
DOIs | |
Publication status | Published - 2013 |
Keywords
- Aortic stenosis
- Aortic valve
- Direct aortic valve implantation
- Minimally invasive
- Thoracotomy
- transcatheter valve implantation
ASJC Scopus subject areas
- Medicine(all)